<% form_for(@billing_account) do |f| %>
  <%= f.error_messages %>

  <p>
    <%= f.label :user_id %><br />
    <%= f.text_field :user_id, :value => 1 %>
  </p>
  <p>
    <%= f.label :first_name %><br />
    <%= f.text_field :first_name, :value => "first_name" %>
  </p>
  <p>
    <%= f.label :last_name %><br />
    <%= f.text_field :last_name, :value => "last_name" %>
  </p>
  <!-- <p>
    <%= f.label :status %><br />
    <%= f.text_field :status, :value => "" %>
  </p> -->
  <p>
    <%= f.label :card_number %><br />
    <%= f.text_field :card_number, :value => "4111111111111111" %>
  </p>
  <p>
    <%= f.label :card_verification %><br />
    <%= f.text_field :card_verification, :value => "123" %>
  </p>
  <p>
    <%= f.label :kind %><br />
    <%= f.text_field :kind, :value => "create" %>
  </p>
  <p>
    <%= f.label :customer_profile_id%><br />
    <%= f.text_field :customer_profile_id, :disabled => false  %>
  </p>
  <p>
    <%= f.label :customer_payment_id %><br />
    <%= f.text_field :customer_payment_id, :disabled => true  %>
  </p>
  <p>
    <%= f.label :card_type %><br />
    <%= f.text_field :card_type, :value => "visa" %>
  </p>
  <!-- <p>
    <%= f.label :account_primary %><br />
    <%= f.text_field :account_primary %>
  </p> -->
  <p>
    <%= f.label :expires_at_month %><br />
    <%= f.text_field :expires_at_month, :value => "2" %>
  </p>
  <p>
    <%= f.label :expires_at_year %><br />
    <%= f.text_field :expires_at_year, :value => "2011" %>
  </p>
  <p>
    <%= f.label :created_at %><br />
    <%= f.date_select :created_at %>
  </p>
  <p>
    <%= f.label :updated_at %><br />
    <%= f.date_select :updated_at %>
  </p>
  <p>
    <%= f.submit 'Create' %>
  </p>
<% end %>
